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(CAUTION: Granting any of the following will give your agent(s) the authority to take actions that could significantly reduce your property or change how your property is distributed at your death. INITIAL ONLY the specific authority you WANT to give your agent(s).) ( ) Create, amend, revoke, or terminate an inter vivos trust ( ) Make a gift, subject to the limitations of the Nebraska Uniform Power of Attorney Act and any special instructions in this power of attorney ( ) Create or change rights of survivorship ( Create or change a beneficiary designation ( ) Delegate to another person to exercise the authority granted under this power of attorney ( ) Waive the principal's right to be a beneficiary of a joint and survivor annuity, including a survivor benefit under a retirement plan ( ) Exercise fiduciary powers that the principal has authority to delegate ( ) Renounce or disclaim an interest in property, including a power of appointment GRANT OF SPECIFIC AUTHORITY (OPTIONAL) My agent(s) MAY NOT do any of the following specific acts for me UNLESS •I have INITIALED the specific authority listed below: Except as otherwise authorized by the Power of Personal and Family Maintenance, an agent MAY NOT use my property to benefit the agent or a person to whom the agent owes an obligation of support unless I have included that authority in the Special Instructions or the Grant of Specific Authority. 3. LIMITATION ON AGENT'S AUTHORITY SPECIAL INSTRUCTIONS (OPTIONAL) You may give special instructions on the following lines: 1. My Agent(s) shall invest all principal sums I may own in an FDIC insured account or accounts with a sufficient number of stable institutions to limit the risk of loss of any principal balance. 2. EFFECTIVE DATE (PRESENT DURABLE) This power of attorney is effective immediately and will remain effective even though I may be disabled or incapacitated unless I have stated otherwise in the Special Instructions. Page 2 of 7 201501920